Please select the school year waitlist:

If you wish to be placed on both waitlists, please select both options.

2024 - 2025 School Year

2025 - 2026 School Year

2026 - 2027 School Year

Child's Name *

First Name

Last Name

Child's Birth Date

MM

DD

YYYY

Parent/Guardian 1 *

First Name

Last Name

Phone *

(###)

###

####

Parent/Guardian 2 *

First Name

Last Name

Phone *

(###)

###

####

Please indicate primary program frequency choice *

2 days/week

3 days/week

5 days/week

Please indicate primary program time choice *

Half-day (9:00 AM to 1:00 PM or 1:30 PM to 5:30 PM)

Full day (9:00 AM to 3:00 PM)

Extended day (8:00 AM to 5:30 PM)

Date

MM

DD

YYYY